AGM / GM of Coding
Run coding delivery at scale. You turn the quality standard into daily execution across managers, team leads and coders, without letting throughput and accuracy trade against each other.
The role
What this job actually is
An active coding certification is mandatory for this role: AAPC (CPC, COC, CIC, CPMA or CRC) or AHIMA (CCS, CCS-P, RHIA or RHIT). Certification must be current and maintained.
This is the operating seat under the Director of Coding. You own daily and weekly execution across the coding floor: SLA delivery, productivity, staffing, shift coverage and quality at the team level. You lead through managers and team leads, and you are measured on whether client commitments are met without accuracy slipping. When volume spikes or a client onboards, you are the person who makes the plan work.
Ownership
What you will own
SLA delivery
Own coding turnaround time and volume commitments across the client base. No silent misses, escalate early with a plan.
Productivity at the accuracy standard
Drive charts per coder per day while holding audited accuracy at 95 percent or better. Both numbers, not one.
Staffing and shift coverage
Plan rosters against client time zones and volume patterns. Own attrition risk, cross-training and bench depth.
Manager development
Lead managers and team leads. Set the cadence, coach the coaching, and build the layer beneath you.
New client onboarding
Stand up coding delivery for new logos: specialty mapping, coder allocation, ramp plan and the first quality gate.
Floor-level quality
Partner with QA so errors are caught, fed back and closed at the team level before they reach a client.
Ramp
Your first 90 days
First 30 days
Learn the floor: volumes by client and specialty, current TAT and accuracy by team, staffing model, and where the recurring bottlenecks actually sit.
By day 60
A staffing and coverage plan that matches real demand curves, a working daily and weekly cadence, and the top three throughput constraints named with fixes assigned.
By day 90
SLA delivery stable and predictable, manager cadence running, and at least one measurable productivity gain achieved without accuracy loss.
Requirements
What we look for
- MANDATORY: active AAPC or AHIMA coding certification (CPC, COC, CIC, CPMA, CRC, CCS, CCS-P, RHIA or RHIT), current and maintained
- Ten or more years in medical coding with four or more years leading managers or large coding teams
- Has run a coding floor of meaningful scale against client SLAs, with the numbers to show it
- Strong capacity planning and workforce management capability across shifts
- Multi-specialty coding exposure and the ability to make allocation decisions across them
- Comfortable being accountable in client-facing operational reviews
Bonus
Strong plus, not required
- Experience onboarding new US clients into an offshore coding delivery model
- Six Sigma, Lean or comparable process improvement background
- Experience with computer-assisted or autonomous coding tooling
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| SLA attainment | Coding TAT and volume commitments met, by client. |
| Audited accuracy | Held at 95 percent or better across teams. |
| Productivity | Charts per coder per day, trended. |
| Attrition and bench depth | Retention and cross-trained coverage. |
| Onboarding ramp time | New client to steady-state delivery. |
| Escalation rate | Client-raised coding issues per period. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.